Hardaway, Amelya R.

Hardaway, Amelya R. is an individual health care provider with primary practice located at 1721 Powder Springs Rd Sw Ste 103 Coast Dental - Cheatham Hill, Marietta GA 30064-4880. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Hardaway, Amelya R. can be contacted via phone (770) 293-0605.

Contact Information

Primary practice address
1721 Powder Springs Rd Sw Ste 103 Coast Dental - Cheatham Hill Marietta GA 30064-4880
Phone: (770) 293-0605
Fax: (770) 293-0606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 23126 Texas
Dental Providers / General Practice 1223G0001X 9061 Tennessee
Dental Providers / Dentist 122300000X DN014519 Georgia

Profile Details

NPI number 1184836744
LBN Legal business name Hardaway, Amelya R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Nov 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184836744 NPPES
Tennessee MEDICAID 1516040

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